Nelson, Eric Reynold

Nelson, Eric Reynold is an individual health care provider with primary practice located at 3101 Clearwater Dr Suite A, Prescott AZ 86305-7180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nelson, Eric Reynold can be contacted via phone (928) 776-1004.

Contact Information

Primary practice address
3101 Clearwater Dr Suite A Prescott AZ 86305-7180
Phone: (928) 776-1004
Fax: (928) 776-1276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29418 Arizona

Profile Details

NPI number 1376541805
LBN Legal business name Nelson, Eric Reynold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376541805 NPPES
Arizona MEDICAID 589286

Popular Providers